Knee Pain From Sciatica: The Ripple Effect

Home » Knee Pain From Sciatica: The Ripple Effect

One possible reason for your knee pain is sciatica, a condition in which this thick nerve is compressed or irritated.

The answer to the question, “Can sciatica cause knee pain?” is yes. Sciatica can lead to knee pain through referred pain, injured sciatic nerve branches, and/or altered gait – the way you’re compensating when you walk.

Today we will explore these relationships between sciatica and knee pain in-depth, and discuss the anatomy of the sciatic nerve, with an overview of diagnosing and treating sciatica-related knee pain.

At a Glance:

Sciatica causes knee pain through either direct compression of it behind your knee joint or as referred pain from its irritated branches, or knee joint pain from your changed body mechanics.

Diagnosis involves medical history, physical examination, and occasionally imaging studies.

Treatments include conservative and alternative therapies to alleviate pressure

Prevention and self-care strategies involve exercise, ergonomics, and maintaining a healthy weight.

Can Sciatica cause knee pain?

Sciatica causes knee pain through a phenomenon known as referred pain, where discomfort is felt in a different location than the source of the problem.

The sciatic nerve, which originates from the lower back and runs down the leg, branches into smaller nerves, such as the tibial and peroneal nerves, which extend to the knee area. When the sciatic nerve or its branches are irritated or compressed, the resulting pain can radiate to the knee.

Additionally, sciatica can lead to muscle imbalances and altered gait, putting extra strain on the knee joint and causing pain there.

holding back of knee sciatica nerve pain

Understanding the Connection

Referred Pain and Sciatic Nerve Branches

Referred pain occurs when pain is felt in a different location than the source of the problem. In the case of sciatica, the compression or irritation of the nerve can cause pain to be felt in the knee area.

Additionally, branches of the sciatic nerve, such as the tibial and common peroneal nerves, can be affected, causing discomfort in the knee area.

Altered Gait and Knee Pain

Sciatica pain can lead you to walk differently – an altered gait. This is why you can be having pains on the knee opposite to the side you have sciatica!

This can also be due to some muscle weakness if you have chronic sciatica. You probably have tight hamstrings too, or even muscle spasms in your lower extremity (leg).

This altered gait can put additional strain on the knee joint, with structures like cartilage, menisci, ligaments and tendons suffering.

Addressing the underlying cause of your sciatica will finally correct your gait, and alleviate knee pain for the long-term.

knee pain when running with sciatica


What does knee pain from sciatica feel like?

Knee pain from sciatica typically feels like a sharp, electric shock-like pain, dull ache, or burning sensation that originates in the lower back or buttocks and radiates down to the knee area.

Does the sciatic nerve run through the knee?

The sciatic nerve does not run directly through the knee; however, it branches into smaller nerves like the tibial and peroneal nerves, which extend to the knee area and can cause pain when irritated or compressed.

Does Sciatica knee pain cause swelling?

Sciatica knee pain itself does not usually cause swelling. However, an underlying condition, such as arthritis or knee sprain, can cause both knee swelling and irritation of the sciatic nerve, resulting in pain.

Anatomy of the Sciatic Nerve

The sciatic nerve is the largest and longest nerve in the body, originating from the lower lumbar and sacral spine.

It runs through the buttocks, down the back of the leg, and branches off into smaller nerves that supply the lower leg and foot, such as the peroneal nerve.

Compression or irritation of the sciatic nerve can cause sciatica, resulting in lower back pain and leg pain.

Causes of Sciatica

Common causes of sciatica include:

  • Herniated disc
  • Lumbar radiculopathy
  • Piriformis syndrome
  • Spinal cord compression due to bone spurs or spinal stenosis

Sciatica symptoms typically involve:

  • Sciatic pain in the lower back and back of the leg
  • Numbness, tingling sensation, or muscle weakness in the lower extremities
  • Worsening pain when sitting for long periods of time
  • Foot pain due to nerve compression

Diagnosing Sciatica-Related Knee Pain

Medical History and Physical Examination

A healthcare professional will ask about your symptoms, medical history, and any activities that may have triggered the pain. They may perform tests to differentiate between various causes of knee pain, such as rheumatoid arthritis or knee problems.

Imaging Studies

Imaging studies, such as X-rays, MRI, or CT scans, may be used to confirm the diagnosis and rule out other conditions, like a knee injury or patellofemoral stress syndrome.

Treatment Options for Sciatica and Knee Pain

Conservative Treatments

  • Physical therapy with a trained physical therapist
  • Anti-inflammatory medications
  • Hot/cold therapy using ice packs
  • Activity modification

Alternative Therapies

Many people find relief with:

Surgical Options

Surgery may be considered if conservative treatments fail, with options including:

  • Microdiscectomy
  • Lumbar laminectomy

Prevention and Self-Care Strategies

Exercise and Strengthening

Regular exercise, targeting the lower back, hips, and knees, can help manage and prevent pain. Exercise programs designed by a physical therapist can be beneficial in addressing tight hamstrings, muscle spasms, and improving the normal curvature of your lower spine.

Ergonomics and Posture

Proper sitting and lifting techniques, as well as supportive mattresses and pillows, can reduce the risk of sciatica and alleviate pressure on the spinal nerves.

Maintaining a Healthy Weight

Excess weight can put strain on the spine and joints, so maintaining a healthy weight through diet and exercise is essential in preventing chronic pain and chronic sciatica.

Other Knee Pain Causes

More common causes of knee pain than sciatica include:

Risk Factors for Sciatica and Knee Pain

Certain risk factors can increase the likelihood of developing sciatica and knee pain. These risk factors include:

  • Age: As people age, the risk of developing bone spurs, herniated discs, or other spinal conditions that can cause sciatica increases.
  • Occupation: Jobs that involve heavy lifting, twisting, or excessive sitting can increase the risk of developing sciatica and knee pain.
  • Sedentary lifestyle: A lack of regular exercise can contribute to muscle imbalances and weakness, increasing the risk of sciatica and knee pain.
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Author Bio

Dr Jason Whealing headshot

Dr. Jason Whealing is a Chiropractor with extensive experience across the UK and Australia. He is passionate about family care and injury management. The cases Jason works with daily include back pain, neck pain, jaw pain, sciatica, knee pain, shoulder pain, headaches and migraine.

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